Estadísticas

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      "titulo" => "Enfermedad de Crohn apendicular seudotumoral"
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    "titulo" => "Multicentricidad y neoplasia primaria secundaria en pacientes con tumor carcinoide"
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        "resumen" => "Se presenta un caso de tumor rectal de colisi&#243;n &#173;el adenocarcinoma adyacente a tumor carcinoide&#173; junto con un tumor carcinoide sincr&#243;nico en el intestino delgado&#46; La multicentricidad y el riesgo elevado de presentar una segunda neoplasia maligna se asocian al tumor carcinoide&#46; <br/>Se analizan las posibles implicaciones terap&#233;uticas de dichas caracter&#237;sticas a trav&#233;s de un estudio retrospectivo de nuestra serie de tumores carcinoides&#44; as&#237; como de la bibliograf&#237;a existente&#46;"
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        "resumen" => "<span class="elsevierStyleBold">Objective&#46;</span> To determine&#44; in the interests of quality control&#44; the correlation between the clinical and pathological diagnosis in women subjected to appendectomy&#46; <br/> <span class="elsevierStyleBold">Patients and methods&#46;</span> In our center&#44; 60&#46;3&#37; of all emergency laparotomies performed in women in 1995 were carried out to treat acute appendicitis&#46; Patient age and level of experience of the surgeon &#40;resident or specialist&#41; were recorded as objective parameters that can lead to erroneous diagnoses&#46; The agreement between the preoperative and pathologic diagnoses was analyzed by the proportion test&#44; where a p value of less than 0&#46;05 was considered to indicate statistical significance&#46; <br/> <span class="elsevierStyleBold">Results&#46;</span> Microscopic study confirmed 90 cases &#40;70&#46;8&#37;&#41; of acute appendicitis and 37 &#40;29&#46;1&#37;&#41; in which no changes were observed&#46; There were no appreciable differences in the parameters analyzed in terms of the surgeon in charge of diagnosis and treatment&#46; The distribution according to age groups showed a significantly greater error &#40;p &#61; 0&#46;01&#41; and a high incidence of gynecological pathology as the cause of the clinical picture during the third decade of life&#46; <br/> <span class="elsevierStyleBold">Conclusions&#46;</span>&#46; The rate of diagnostic error associated with appendectomy is accepted by the majority of authors to be 15&#37; to 20&#37;&#44; reaching 30&#37; to 50&#37; in young women according to some series&#46; We observe a significantly greater error in patients aged 21 to 30 years &#40;48&#37; versus 29&#37;&#44; p &#61; 0&#46;01&#41; which points out the need for a protocol for more thorough clinical assessment involving gynecologists and radiologists&#46; These findings also support the systematic use of ultrasound and the performance of laparoscopy as possible approaches in this group of patients"
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